Provider Demographics
NPI:1821129925
Name:LEX DRUGS INC
Entity Type:Organization
Organization Name:LEX DRUGS INC
Other - Org Name:LEX DRUGS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-310-2221
Mailing Address - Street 1:1797 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-2830
Mailing Address - Country:US
Mailing Address - Phone:212-426-0402
Mailing Address - Fax:212-426-0403
Practice Address - Street 1:1797 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2830
Practice Address - Country:US
Practice Address - Phone:212-426-0402
Practice Address - Fax:212-426-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0259093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02405952Medicaid
3332056OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5100380001Medicare NSC